Evaluation of the Autonomic Nervous System in Chronic Chagasic Cardiopathy: A Systematic Review of the Literature

Detalhes bibliográficos
Autor(a) principal: Rimolo, Lorena dos Santos Marreto
Data de Publicação: 2020
Outros Autores: Saraiva, Roberto Magalhães, Cunha, Ademir Batista da
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/46311
Resumo: Hospital Universitário Antônio Pedro. Niterói, RJ, Brasil.
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spelling Rimolo, Lorena dos Santos MarretoSaraiva, Roberto MagalhãesCunha, Ademir Batista da2021-03-08T23:03:16Z2021-03-08T23:03:16Z20202359-4802https://www.arca.fiocruz.br/handle/icict/4631110.36660/ijcs.20190122engScieloEvaluation of the Autonomic Nervous System in Chronic Chagasic Cardiopathy: A Systematic Review of the Literatureinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleHospital Universitário Antônio Pedro. Niterói, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Hospital Universitário Antônio Pedro. Niterói, RJ, Brasil.Background: The importance of regional sympathetic denervation in the pathophysiology and prognosis of Chagas disease has been recognized. Objective: To conduct a review of studies that have assessed dysautonomia in chronic Chagas heart disease. Methods: The search was performed on the Medline, Pubmed, Lilacs and SciELO databases. The inclusion criteria were: original articles published in full; studies on individuals with Chagas disease, that used diagnostic methods for chagasic cardiomyopathy, and had clear inclusion and exclusion criteria. Duplicate studies, studies including children (0 to 10 years old), studies involving animals, in vitro experiments, case reports, editorials, theses, and dissertations were excluded. Results: A total of 281 articles were retrieved, and 10 met the inclusion criteria and were analyzed. There was great heterogeneity as to the technique for assessing dysautonomia, groups of patients studied and classification of Chagas disease. The methods used for studying the autonomic system was immunohistochemistry (n=1), Valsalva and tilt-test (n=1), scintigraphy (n=6) and Holter monitoring (n=2). The results indicated dysautonomia in the indeterminate, digestive and cardiac forms of Chagas disease, and sympathetic denervation in the indeterminate and cardiac forms of the disease. There was agreement between areas of denervation, hypoperfusion and fibrosis, but areas of denervation were larger than those of hypoperfusion. The frequency of denervation and its extension increased from the indeterminate to the cardiac form. There was an association between extension of denervation and previous history of malignant ventricular arrhythmia. Conclusions: The evidence presented in this review supports that an early diagnosis of autonomic denervation in chronic Chagas' disease allows the identification of patients with an increased risk of sudden death.Chagas DiseaseChagas CardiomyopathyArrhythmias, CardiacPrimary DysautonomiasAutonomic Nervous Systeminfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83099https://www.arca.fiocruz.br/bitstream/icict/46311/1/license.txt586c046dcfeef936e32f0323bb9a47c0MD51ORIGINALEvaluation_Roberto_Saraiva_etal_INI_2020.pdfEvaluation_Roberto_Saraiva_etal_INI_2020.pdfapplication/pdf363645https://www.arca.fiocruz.br/bitstream/icict/46311/2/Evaluation_Roberto_Saraiva_etal_INI_2020.pdfc978983557a50e046ebfa72470c3cca7MD52TEXTEvaluation_Roberto_Saraiva_etal_INI_2020.pdf.txtEvaluation_Roberto_Saraiva_etal_INI_2020.pdf.txtExtracted 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dc.title.pt_BR.fl_str_mv Evaluation of the Autonomic Nervous System in Chronic Chagasic Cardiopathy: A Systematic Review of the Literature
title Evaluation of the Autonomic Nervous System in Chronic Chagasic Cardiopathy: A Systematic Review of the Literature
spellingShingle Evaluation of the Autonomic Nervous System in Chronic Chagasic Cardiopathy: A Systematic Review of the Literature
Rimolo, Lorena dos Santos Marreto
Chagas Disease
Chagas Cardiomyopathy
Arrhythmias, Cardiac
Primary Dysautonomias
Autonomic Nervous System
title_short Evaluation of the Autonomic Nervous System in Chronic Chagasic Cardiopathy: A Systematic Review of the Literature
title_full Evaluation of the Autonomic Nervous System in Chronic Chagasic Cardiopathy: A Systematic Review of the Literature
title_fullStr Evaluation of the Autonomic Nervous System in Chronic Chagasic Cardiopathy: A Systematic Review of the Literature
title_full_unstemmed Evaluation of the Autonomic Nervous System in Chronic Chagasic Cardiopathy: A Systematic Review of the Literature
title_sort Evaluation of the Autonomic Nervous System in Chronic Chagasic Cardiopathy: A Systematic Review of the Literature
author Rimolo, Lorena dos Santos Marreto
author_facet Rimolo, Lorena dos Santos Marreto
Saraiva, Roberto Magalhães
Cunha, Ademir Batista da
author_role author
author2 Saraiva, Roberto Magalhães
Cunha, Ademir Batista da
author2_role author
author
dc.contributor.author.fl_str_mv Rimolo, Lorena dos Santos Marreto
Saraiva, Roberto Magalhães
Cunha, Ademir Batista da
dc.subject.en.pt_BR.fl_str_mv Chagas Disease
Chagas Cardiomyopathy
Arrhythmias, Cardiac
Primary Dysautonomias
Autonomic Nervous System
topic Chagas Disease
Chagas Cardiomyopathy
Arrhythmias, Cardiac
Primary Dysautonomias
Autonomic Nervous System
description Hospital Universitário Antônio Pedro. Niterói, RJ, Brasil.
publishDate 2020
dc.date.issued.fl_str_mv 2020
dc.date.accessioned.fl_str_mv 2021-03-08T23:03:16Z
dc.date.available.fl_str_mv 2021-03-08T23:03:16Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/46311
dc.identifier.issn.pt_BR.fl_str_mv 2359-4802
dc.identifier.doi.none.fl_str_mv 10.36660/ijcs.20190122
identifier_str_mv 2359-4802
10.36660/ijcs.20190122
url https://www.arca.fiocruz.br/handle/icict/46311
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Scielo
publisher.none.fl_str_mv Scielo
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/46311/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/46311/2/Evaluation_Roberto_Saraiva_etal_INI_2020.pdf
https://www.arca.fiocruz.br/bitstream/icict/46311/3/Evaluation_Roberto_Saraiva_etal_INI_2020.pdf.txt
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